complaint·January 16, 2026

if not in the common areas. Six out of six staff state grooming and hygiene needs were being met although the resident would frequently refuse grooming as well as incontinence care. Facility staffing in memory care is as follows: Three caregivers/ med tech for 1st and 2nd shift depending on census and 1 caregiver/ med tech for NOC shift. The resident had a cat and six out of six staff state caring for the cat as well as cleaning the cat box. Due to the propensity of the cat to vomit and incontinence needs, carpet cleaning was conducted 1-2 times per week at a minimum and Maintenance confirms this service. Review of housekeeping records show the resident's room was being regularly cleaned. LPA observed no odors in the facility on three different visits. Physician order dated 02/05/2025 indicates resident was prescribed Seroquel 25mg the evening of 02/05/2025. Medication administration record shows the facility was waiting for the prescription to be filled prior to the resident being hospitalized for a urinary tract infection on 02/09/2025. Facility staff indicate insurance issues and a change in protocol of the pharmacy may have resulted in the delay in filling the prescription. Staff indicate an incident where the resident's family member was inadvertently told the resident had received the medication when in fact the medication was not on-site yet. LPA reviewed two physician orders for Tylenol and Ativan as routine medications following Atria's policy of no PRN medications in the memory care unit. Both were signed by R1's personal physician. Based on observations and interviews conducted, LPA is unable to corroborate the allegations. Therefore, the allegations are deemed unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Administrator and a copy of this report was provided to facility.